Individual
TIMOTHY HAMILTON ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
417 UTAH DR APT D, PETALUMA, CA 94952-9125
(707) 360-5647
Mailing address
417 UTAH DR APT D, PETALUMA, CA 94952-9125
(707) 360-5647
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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